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巴基斯坦卡拉奇医科学生和卫生专业人员对远程手术和机器人手术的知识、态度及认知:一项横断面研究

Knowledge, attitudes, and awareness of telesurgery and robotic surgery among medical students and health professionals in Karachi, Pakistan: a cross-sectional study.

作者信息

Bilawal Makhdoom, Ansari Rafay Shahab, Majeed Aqsa Abdul, Farhan Kanza, Qayyum Sardar Noman, Memon Areesha Shams, Iqbal Bushra, Dahar Maha Raja, Aiman Sham U, Ullah Irfan

机构信息

College of Medicine, Ziauddin University, Karachi, Pakistan.

Sindh Institute of Child Health and Neonatology, Karachi, Pakistan.

出版信息

J Robot Surg. 2025 Sep 17;19(1):614. doi: 10.1007/s11701-025-02788-2.

Abstract

Telesurgery refers to the surgical procedures performed by surgeons with the help of computer or satellite-linked robotic instruments when patients are in distant areas where a surgeon's physical presence is challenging. This innovative technology has great potential, particularly in providing access to specialized surgical care in remote or underserved areas. This innovation integrates telecommunication networks with robotic surgery and offers enhanced precision, reduced invasiveness, and faster patient recovery. As telesurgery continues to evolve, understanding the knowledge, attitudes, and awareness of healthcare professionals is crucial for its successful integration into medical practice. This cross-sectional study was conducted among 1,053 medical students and health professionals aged 18 and above in Karachi, Pakistan. Participants were selected through convenience sampling and completed a self-administered questionnaire covering demographics, knowledge, attitudes, and awareness of telesurgery. The study reported that 93.9% of participants had heard about telesurgery. However, only 33.6% correctly identified the concept. Acceptance of telesurgery was reported by 44.9% of participants, while 12.1% remained uncertain. Significant associations were found between knowledge and factors such as gender, clinical status, and professional experience (p < 0.05). Participants identified high costs and reliance on technology as major barriers, while rural areas and emergency scenarios were seen as key contexts for telesurgery's application. This study offers a thorough grasp of the knowledge, attitudes, and perceptions of medical students and professionals regarding the application of telesurgery, which will be heightened by initiating awareness programs and training sessions that will enlighten the importance of telesurgery.

摘要

远程手术是指外科医生借助计算机或卫星连接的机器人设备进行的手术操作,此时患者身处距离较远的地区,外科医生亲临现场存在困难。这项创新技术具有巨大潜力,特别是在为偏远或医疗服务不足地区提供专业外科护理方面。这种创新将电信网络与机器人手术相结合,提高了精准度,降低了侵入性,并加快了患者康复速度。随着远程手术不断发展,了解医疗保健专业人员的知识、态度和认知对于其成功融入医疗实践至关重要。这项横断面研究在巴基斯坦卡拉奇的1053名18岁及以上的医学生和卫生专业人员中进行。参与者通过便利抽样选取,并完成了一份自我管理问卷,内容涵盖人口统计学、远程手术的知识、态度和认知。研究报告称,93.9%的参与者听说过远程手术。然而,只有33.6%的人正确识别了这一概念。44.9%的参与者表示接受远程手术,而12.1%的人仍不确定。研究发现,知识与性别、临床状况和专业经验等因素之间存在显著关联(p < 0.05)。参与者认为高成本和对技术的依赖是主要障碍,而农村地区和紧急情况被视为远程手术应用的关键场景。这项研究全面掌握了医学生和专业人员对远程手术应用的知识、态度和看法,通过开展提高认识的项目和培训课程,强调远程手术的重要性,这种认知将得到提升。

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